person
Matthew Seung Wietzke, NP
Psychiatric/Mental Health Nurse Practitioner in San Diego, California
NPI 1518613678

Matthew Seung Wietzke is a Psychiatric/Mental Health Nurse Practitioner based in Los Angeles, CA and is specialized in Psychiatric/Mental Health. Matthew Seung Wietzke practices in San Diego, CA and has the professional credentials of NP. The NPI Number for Matthew Seung Wietzke is 1518613678 and holds a License No. 852053 (California).

The current practice location address for Matthew Seung Wietzke is 200 W Arbor Dr, San Diego, CA and can be reached out via phone at 800-926-8273 and via fax at 888-539-8781.

Location: 200 W Arbor Dr, San Diego, CA, 90074-0001
person
Provider Profile Details
NPI Number
1518613678
Provider Name
Matthew Seung Wietzke
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
200 W Arbor Dr, San Diego, CA, 90074-0001
Phone Number
800-926-8273
Fax Number
888-539-8781
Provider Enumeration Date
02/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 W Arbor Dr
City
State
Zip
92103-9000
Phone Number
800-926-8273
Fax Number
888-539-8781
person
Provider Business Mailing Address Details
Address
200 W Arbor Dr
City
State
Zip
92103-9000
Phone Number
800-926-8273
Fax Number
888-539-8781
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
852053 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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